Table 3.

Agreement between clinical findings and US results in tender and nontender joints.

Clinical FindingUS TechniqueJoint TypePhysical Examination MethodAgreementκSensitivitySpecificityPPVNPV
CohenAC1
BallottementGreyscaleTenderDFFT0.720.410.480.530.860.730.72
TFT0.630.270.290.470.800.700.60
NontenderDFFT0.730.330.550.410.890.650.75
TFT0.670.070.520.061.001.000.66
DopplerTenderDFFT0.830.630.700.690.910.820.84
TFT0.770.490.570.640.840.700.80
NontenderDFFT0.810.480.700.530.910.700.84
TFT0.760.110.690.081.001.000.76
SpongyGreyscaleTenderDFFT0.700.410.390.860.580.600.85
TFT0.650.310.320.770.540.630.70
NontenderDFFT0.740.380.550.530.840.610.79
TFT0.690.260.480.380.860.590.72
DopplerTenderDFFT0.610.260.220.820.500.450.85
TFT0.500.100.010.710.420.310.80
NontenderDFFT0.760.390.600.580.820.540.85
TFT0.730.260.580.420.840.450.81
  • DFFT: dorsal 4-finger technique; TFT: 2-finger technique; PPV: positive predictive value; NPV: negative predictive value; US: ultrasound; AC1: first-order agreement coefficient.